HomeMy WebLinkAbout4924 Smallwood Ct - Miscellaneous - 07/21/1998Fort Collins residential energy code 7/96
I Air sealinq disclosure form
Job address:
General contractor.
Air sealing contractor.
4fr
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INVe certify that the air sealing requirements specified in the current City of Fort Collins Residential Energy Code
have been completed in this building, in accordance with the "Air Sealing Checklist' published by the City of Fort Collins.
Certified by:zm, 'Icwe�
Business firm:
Address: AbZile-S Lpzei� z, 4j—
Phone:_ &j!i7- ye/ff
Date: -7. z /. qr
Signature: &,,a—,
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B. Performance path..'. ...... . . ... ............. ... . ..... . .......
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IMe certify that this building has met the air leakage performance threshold specified in the current
City of Fort Collins Residential Energy Code, in accordance with the "Blower Door Test Procedures," published
by the City of Fort Collins.
Testing contractor:
Date of test:
CFM50:
Volume:
ACH50:
Certified by:
Business firm:
Address:
Air flow through the blower door at 50 Pascals pressure difference (cfm)
Volume of home (cu. ft.)
Air change rate per hour at 50 Pascals pressure difference
ACH50 = (CFM50 x 60) / Volume
The performance threshold for code compliance is ACH50
not exceeding 5,0 acth
Phone:
Date:
Signature:
...... ...... ....... ..... Instructions :, -,:*. , -'. **.-%---......- .. . . ..... .... ..... .. ... .. . - ......... .... :..
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Complete either Part A or Part B. -- ................ --- .......... .. ....
Part A is to be signed by the air sealing contractor or representative of the general contractor.
Part B is to be signed by the blower door testing contractor or representative of the general contractor.
The "Blower Door Test Report" or equivalent documentation must be attached.
Please type or print except for the signature.
If components vary, make multiple entries to describe them.
One copy of this form shall be provided to the Building and Zoning Department at final inspection.
One copy of this form shall be provided to the homebuyer.
&5dW.W01M= - W446
Fort Collins residential energy code 7/9
1 Mechanical systems disclosure form
Job address:
General contractor:
e-
Location
Fuel
Tvpe
Manufacturer
Model #
kBtuh or kW
I HSPF
Location
Fuel
Tyloe
Manufacturer
Model #
Input capacity
kBtuh or kW
SEER
Location
Fuel
Tvne
Manufacturer
Model #
Input capacity
kBtuh or kW
Energy
Factor
Storage
I volume
VVVecertify that the above -listed equipment was installed in the building at the above locations in conformance with the
current requirements of City nfFort Collins ReddenUn|Energy`Cudean&,',IiechumicaI Cud�mnddT8t6v«moinstalled iu
accordance with manufacturer's instructions. [Me certify that any ductwork has been installed ioconformance with
the current requirements of the City of Fort Collins Residential Energy Code and Mechanical Code.
Address: POZ�IZ6 Signature: Wgoge
This disclosure fonni's to be signed by the mechanical contractor or representative of the general contractor.
Please type nrprint, except for the signature.
If there are multiple systems serving any function, make multiple entries to d ' escribe them.
One copy of this form shall be provided to the Building and Zoning Department at final inspection.
One copy ofthis form shall beprovided tothe homebuyer. mdd=.wb11SM~6,7*w
191°°="=,=ML41141"nwumeU� puuwSnenpytneumyvxFort Collins.
Certified by Bryan SiDoelma ��pma:
667-8018
Bu inwsspm:ompq Date:
Address:
Please type or print, except for the signature. ractor or rep, resentaiive of the general contract . or. ..... .....
If components vary, make multiple entries to describe them.
One copy of this form shall be provided to the Building and Zoning Department at final inspection.
One copy of this form shall be provided to the homebuyer.